Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gastro South, LLC

Organization Gastroenterology Physician · NPI 1790440204

Gastro South, LLC is a Gastroenterology Physician in Macon, Georgia. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

240 Sheraton Blvd
Macon, GA 31210-1358
Phone: (706) 495-5718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 249-A Sheraton Blvd, Macon, GA 31210 — (706) 495-5718

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X

Record details

NPI number1790440204
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joel Judah — Managing Member · (706) 495-5718
NPI enumeratedNovember 1, 2021
Last updated in NPPESNovember 1, 2021
Certification dateOctober 13, 2021
Mailing address9172 Estes Rd, Macon, GA 31220-5603

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